AWARD NUMBER: W81XWH-14-2-0139 - DTICAWARD NUMBER: W81XWH-14-2-0139 TITLE: The PTSD Practitioner...
Transcript of AWARD NUMBER: W81XWH-14-2-0139 - DTICAWARD NUMBER: W81XWH-14-2-0139 TITLE: The PTSD Practitioner...
AWARD NUMBER: W81XWH-14-2-0139
TITLE: The PTSD Practitioner Registry: An Innovative Tracking, Dissemination, and Support Tool for Providers in Military and Nonmilitary settings
PRINCIPAL INVESTIGATOR: Raymond C. Rosen, PhD
CONTRACTING ORGANIZATION: New England Research Institutes, Inc.Watertown, MA 02472
REPORT DATE: OCTOBER 2018
TYPE OF REPORT: Annual
PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012
DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited
The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.
REPORT DOCUMENTATION PAGE Form Approved
OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS.
1. REPORT DATE
OCT 20182. REPORT TYPE
Annual
3. DATES COVERED 30 SEP 2017 - 29 SEP 2018
4. TITLE AND SUBTITLE
The PTSD Practitioner Registry: An Innovative Tracking, Dissemination, and Support Tool for Providers in Military and Nonmilitary SettingsTraafTracking Diss
5a. CONTRACT NUMBER
5b. GRANT NUMBER
W81XWH-14-2-0139
5c. PROGRAM ELEMENT NUMBER
6. AUTHOR(S)
Raymond C. Rosen
5d. PROJECT NUMBER
Ashley Magnavita 5e. TASK NUMBER
5f. WORK UNIT NUMBER
7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)
New England Research Institutes, Inc.
NAND ADDRESS(ES)
8. PERFORMING ORGANIZATION REPORTNUMBER
480 Pleasant St.
Watertown, MA 02472
9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S)
U.S. Army Medical Research and Materiel Command
Fort Detrick, Maryland 21702-5012 11. SPONSOR/MONITOR’S REPORT
NUMBER(S)
12. DISTRIBUTION / AVAILABILITY STATEMENT
Approved for public release; distribution unlimited
13. SUPPLEMENTARY NOTES
14. ABSTRACT
The PTSD Practitioner Exchange is an innovative research project for clinicians in three
service sectors—the VA, DoD, and the community—which aims to disseminate the most recent
clinically relevant information and resources supporting delivery of key practices endorsed
in the VA-DoD Clinical Practice Guideline for the Management of PTSD; to support clinician
well-being; and to identify factors enabling the implementation of clinical best practices
in the treatment of PTSD. In order to provide this Exchange a two-phase study will be
conducted. In Phase I, qualitative interviews were conducted with 53 providers to assess
practitioner needs and interests in the registry as well as pre-test the proposed registry
survey. In Phase II, an RCT was conducted to evaluate the impact of registry participation
on practices/CPG awareness, receptivity and implementation. To date, the study team has
completed the Phase I qualitative interviews, the RCT, and Phase II qualitative interviews.
Four manuscripts are in preparation and the PTSD Clinicians Exchange website has been
transferred to the VA for final dissemination.
15. SUBJECT TERMS
PTSD, qualitative interviews, survey development, best practices, CPGs
16. SECURITY CLASSIFICATION OF: 17. LIMITATIONOF ABSTRACT
18. NUMBEROF PAGES
19a. NAME OF RESPONSIBLE PERSON
USAMRMC
a. REPORT
Unclassified
b. ABSTRACT
UnclassifiedUnclassified U
c. THIS PAGE
Unclassified Unclassified
19 19b. TELEPHONE NUMBER (include area
code)
Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std. Z39.18
EMAIL: [email protected]
TABLE OF CONTENTS
Page No.
1. Introduction 1
2. Keywords 1
3. Accomplishments 2
4. Impact 6
5. Changes/Problems 7
6. Products 9
7. Participants & Other Collaborating Organizations 13
8. Special Reporting Requirements 16
9. Appendices 16
1
1. INTRODUCTION:
2. KEYWORDS:
The delivery of best practice care for PTSD and other combat-related disorders is a compelling
priority for clinicians working with active-duty Warriors and Veterans with Post Traumatic Stress
Disorder (PTSD). The PTSD Practitioner Exchange is an innovative research project for clinicians
in three service sectors—the VA, DoD, and the community—which aims to disseminate the most
recent clinically relevant information and resources supporting delivery of key practices endorsed
in the VA-DoD Clinical Practice Guideline for the Management of PTSD; to support clinician
well-being; and to identify factors enabling the implementation of clinical best practices in the
treatment of PTSD. This clinician-informed online survey and portal will connect providers with a
wide array of resources and serve as a support mechanism for clinicians with the goal of increasing
their knowledge of and receptivity to best practices, and ultimately improving the quality of care
for Warriors and Veterans with PTSD as well as their families. It will also provide a way of
monitoring the levels of burnout among PTSD treatment providers, assessing perceptions of the
local organizational climates for implementing practices, and tracking awareness and
implementation of key practices within the Clinical Practice Guideline. Following completion of
the RCT, a subset (N=60) of RCT completers will be asked to participate in cognitive debriefing
interviews. Participants will be asked to comment on specific aspects of the registry that were most
beneficial in overcoming barriers and implementing EBP’s in everyday clinical practice, and on
those aspects that were least useful or clinically relevant. Impact on practice-related stress and
burnout will also be discussed. GOAL: If successful, we plan to maintain and expand the PTSD
Practitioner Registry as a novel mechanism for research and training of mental health practitioners
across multiple practice settings.
PTSD, trauma, Clinical Practice Guidelines (CPGs), best practices, qualitative interview, survey
development
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3. ACCOMPLISHMENTS: The PI is reminded that the recipient organization is required to
obtain prior written approval from the awarding agency Grants Officer whenever there are
significant changes in the project or its direction.
What were the major goals of the project?
List the major goals of the project as stated in the approved SOW. If the application listed
milestones/target dates for important activities or phases of the project, identify these dates and
show actual completion dates or the percentage of completion.
Goals up to September 2018 ) (all research sites contributed to completing all SOW tasks, which
are listed below):
1) Obtain IRB approval from Stanford University; NERI; DoD; and VA Palo Alto Healthcare
System (10/14-3/15) 100% complete on 06Jul2015: In order to streamline the study in the long-
term, DoD requested an IRB deferral to Stanford IRB. This additional process shifted the
timeline for Year 1 major tasks. Following this initial delay, all tasks have proceeded as
anticipated and the project is on target to be completed as expected in Years 2-4.
2) Develop and pre-test interview modules (10/14-11/14) 100% complete on 03/15
3) Recruit providers for interview assessments (10/14-03/15)100% complete as of 05Nov2015
4) Conduct provider interview assessments, n=60 (03/15-06/15) 100% complete on 05Nov2015.
A total of 54 interviews were conducted.
5) Code, QC, and analyze interviews (03/15-06/15): 100% complete as of 27May2016
6) Prepare final descriptive report of needs assessment interviews (06/15-07/15): 100% complete
as of 27May2016
7) Develop initial registry format (10/14-11/14) 100% completed Jun2015.
8) VHA web host programmers provide specifications and guidance to web programmers and
database programmers (10/14-11/14) 100% completed on 5Feb2015
9) Develop on-line materials to assess the feasibility and usability of the registry (5/15-6/15)
100% completed on 25Aug2015
10) Completion of on-line questions and pre-testing of PTSD Provider Survey (7/15-8/15) 100%
completed in 08/15
11) Develop provider recruitment materials (7/15-11/15) 100% complete on 26Oct2015
12) Define and provide nonmonetary incentives for regular use of the registry (7/15-11/15) 100%
complete on 26Feb2016. The team has determined how we can provide clinicians with
resources that will allow clinicians in all sectors to receive CEUs, in addition to integrating
badging, interactive resources, and feedback mechanisms into the site, all of which we believe
will be incentives for return site use.
13) Program automatic e-mail reminders/interaction with providers (7/15-11/15) Content 100%
complete on 28Mar2016. Email reminders have been finalized and will be sent out by VA
study staff.
14) Finalize all provider content (9/15 – 11/15) 100% complete on 26Feb2016
15) Finalize all modifications to registry design (11/15): 100% complete on 25Apr2016.
The registry website went live on 25Apr2016.
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16) Program and test randomization system for RCT (3/16): 100% completed on 28Mar2016
17) Program Active Registry surveys (PTSD Provider Survey) and materials (9/15-11/15): 100%
completed on 30Mar2016
18) Program Baseline Assessment Measures (9/15 – 11/15): 100% completed on 28Mar2016
19) Develop message for Email Only Controls (9/15 – 11/15): 100% completed on 21Mar2016
20) Develop provider recruitment materials (7/15 – 11/15) 100% complete on 17Feb2016
Protocol, ICFs and recruitment materials were developed by the study team for Phase II.
21) Recruit, screen and collect data on N = 600 providers in the RCT (11/15 – 11/17): Recruitment
started 05Apr2016, 100% complete as of February 2017
22) Monitor participation rates; data collection and data quality (11/15 – 2/18): 100% complete.
Follow-up was completed in March 2018.
23) Create and provide feedback materials and reports to registry participants (5/16 – 2/18): 100%
Complete. Task started after randomization. Participants in both groups received regular email
notifications, with the active group getting bi-weekly email notifications regarding features of
the website plus a bi-monthly newsletter and the control group receiving only the bi-monthly
newsletter. This task ended following the last waves Year 1 visit.
24) Create interim and final analytic data sets: The database was closed in March 2018. Analysis is
ongoing for the 4 manuscripts in development.
25) Cognitive debriefing of n=60 RCT Active Registry participants and n=20 Email Only Registry
participants: 100% complete. In October 2016, it was determined by the project team that
participants assigned to the active registry only would be asked to participant in cognitive
debriefing interviews. The Phase II interviews are intended to evaluate the effectiveness and
user receptivity of the website materials, therefore the email only participants that received the
NCPTSD Trauma Update Newsletter would not be able to provide such feedback. Also, due to
the time and resources needed to complete 60 interviews in Phase I the study team concluded
that the 60 RCT Active Registry participants would provide the necessary information to
update the website for long term use. A total of 56 interviews were conducted across the three
service sectors and were completed in March 2018.
26) Analyze cognitive debriefing interviews: 100% complete. A final report analyzing the 56
qualitative interviews was completed in May 2018.
27) Transition study website to long-term hosting on VA server: the study website has been
packaged and transferred to the VA web development team for long-term support. A public-
facing version of the website is scheduled to launch by December 2018.
28) Author and co-author evaluation findings: 4 manuscripts are currently under development:
Main Results, Web Usage, Burnout and Secondary Traumatic Stress. We anticipate all
manuscripts to be completed and published by December 2018 (based on request for EWOF).
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What was accomplished under these goals?
For this reporting period describe: 1) major activities; 2) specific objectives; 3) significant
results or key outcomes, including major findings, developments, or conclusions (both positive
and negative); and/or 4) other achievements. Include a discussion of stated goals not met.
Description shall include pertinent data and graphs in sufficient detail to explain any significant
results achieved. A succinct description of the methodology used shall be provided. As the
project progresses to completion, the emphasis in reporting in this section should shift from
reporting activities to reporting accomplishments.
IRB Approval:
- Stanford received IRB approval for v.2.1 of the protocol and Phase II regulatory documents
(19Feb2016)
- NERI received IRB approval for v.2.1 of the protocol and Phase II regulatory documents
(24Feb2016)
- WRAIR received commander approval for v.2.1 of the protocol and Phase II regulatory
documents (21Mar2016)
- HRPO approval was provided for Stanford, NERI and WRAIR (25Feb2016, 04Mar2016,
04Mar2016)
- Stanford received IRB approval for v. 2.2 of the protocol and recruitment flyer (26Jul2016)
- NERI received IRB approval for v. 2.2 of the protocol and recruitment flyer (29Jul2016)
- WRAIR received commander approval for v. 2.2 of the protocol and recruitment flyer
(15Aug2016)
- Stanford received IRB approval for v. 2.3 of the protocol and participant packets (28Mar2017)
- NERI received IRB approval for v. 2.3 of the protocol and participant packets (06Apr2017)
- WRAIR received commander approval for v. 2.3 of the protocol and participant packets
(25Apr2017)
- HRPO continuing review approval was provided for Stanford, NERI and WRAIR
(27Apr2017,03Apr2017, 13Apr2017, 01Mar2018).
Qualitative Assessment:
- Qualitative Interviews were scheduled to begin this quarter but were delayed due to delays with
obtaining the DoD deferral to Stanford IRB and then full HRPO IRB approval. Recruitment
for qualitative interviews began on 07Jul2015.
- A total of 54 interviews were completed as of November 2015. A total of 60 interviews were
anticipated to be completed for Phase I; however, the DoD was informed by the Navy and Air
Force that neither branch would be able to provide lists for this phase of the project; Both
branches confirmed support for the second phase of the project and will be able to provide lists
for Phase II. Because the qualitative interviews to date have achieved information “saturation”,
which is the intention of qualitative interviews, it was decided that no further qualitative
interviews will be necessary beyond the current targeted n=54.
- Qualitative discussion guide was created for Phase II.
- Phase II qualitative interviews began on 23Aug2017. All interviews (N=56) were completed as
of March 2018.
Survey development:
- Final survey content completed (15Dec2015)
Web development:
- Website go-live (25Apr2016)
Survey programming:
- Survey programmed into eCOS (28Mar2016)
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What opportunities for training and professional development has the project provided?
If the project was not intended to provide training and professional development opportunities or
there is nothing significant to report during this reporting period, state “Nothing to Report.”
Describe opportunities for training and professional development provided to anyone who
worked on the project or anyone who was involved in the activities supported by the project.
“Training” activities are those in which individuals with advanced professional skills and
experience assist others in attaining greater proficiency. Training activities may include, for
example, courses or one-on-one work with a mentor. “Professional development” activities
result in increased knowledge or skill in one’s area of expertise and may include workshops,
conferences, seminars, study groups, and individual study. Include participation in conferences,
workshops, and seminars not listed under major activities.
How were the results disseminated to communities of interest?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
- The study team developed a poster that was presented at the 2016 MHSRS conference.
- The study team developed 3 posters that were presented at the 2017 MHSRS conference. The poster
titled “Providing Evidence-based Treatments for PTSD and the Risk of Secondary Traumatic Stress:
Results from the PTSD Clinicians Exchange” received 2nd place in one of the two poster sessions.
- The study team developed 4 posters that were presented at the 2017 ISTSS conference.
- The study team developed a poster that was presented at the 2018 MHSRS conference.
- The study team developed an oral symposium presentation for the 2018 MHSRS conference.
Recruitment
- Initial recruitment email sent (05Apr2016)
- Recruitment completed N=605
- 6-month assessment data collection began 16Nov2016 and was completed on 13Sep2017. 379
(62.6%) participants completed the 6-month assessment.
- 12-month assessment data collection began 18May2017 and was completed on 14Mar2018. 395
(65.3%) participants completed the 12-month assessment.
Additional Tasks:
- Recruitment Plan was finalized for Phase II
- Presentation at 2016 MHSRS (August 2016)
- Three presentations at 2017 MHSRS (August 2017)
- 2nd place winner of poster session at 2017 MHSRS
- Four presentations at 2018 ISTSS (November 2018)
- Symposium presentation at 2018 MHSRS (August 2018)
- Poster presentation at 2018 MHSRS (August 2018)
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Describe how the results were disseminated to communities of interest. Include any outreach
activities that were undertaken to reach members of communities who are not usually aware of
these project activities, for the purpose of enhancing public understanding and increasing
interest in learning and careers in science, technology, and the humanities.
What do you plan to do during the next reporting period to accomplish the goals? If this is the final report, state “Nothing to Report.”
Describe briefly what you plan to do during the next reporting period to accomplish the goals
and objectives.
4. IMPACT: Describe distinctive contributions, major accomplishments, innovations, successes, or
any change in practice or behavior that has come about as a result of the project relative to:
What was the impact on the development of the principal discipline(s) of the project?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
Describe how findings, results, techniques that were developed or extended, or other products
from the project made an impact or are likely to make an impact on the base of knowledge,
theory, and research in the principal disciplinary field(s) of the project. Summarize using
language that an intelligent lay audience can understand (Scientific American style).
The Advisory Board members are key members within the PTSD community from the three service
sectors (VHA, DoD, and community). One of the key functions of the advisory board will be to assist
with dissemination of key findings once the study has concluded. An advisory board meeting took
place in October 2016, an advisory board meeting for 2017 took place on October 17th, 2017 and a final
meeting took place on August 2nd, 2018.
During the next reporting period we plan to accomplish the following:
- Finalize and submit the 4 manuscripts in process
- Complete transition of the PTSD Clinicians Exchange website
The PTSD Clinicians Exchange is a novel dissemination method for increasing familiarity, perceived
benefit, and implementation of evidence-based practices (EBPs) for PTSD and other mental health
concerns. Based on feedback from front-line clinicians, the Exchange was developed to be a streamlined
“one stop shop” for getting up-to-date, top-vetted resources and information about EBPs in an easy-to-use
format. Our clinicians reported that it can be difficult to find quality resources that they can trust, such as
manuals, handouts, trainings, etc. They also reported that many websites are overly cumbersome, making
it difficult to sift through the plethora of information to find what they need, when they need it. Clinicians
who participated in the follow-up qualitative interviews reported that the Exchange addressed these
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What was the impact on other disciplines?
Describe how the findings, results, or techniques that were developed or improved, or other
products from the project made an impact or are likely to make an impact on other disciplines.
What was the impact on technology transfer?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
Describe ways in which the project made an impact, or is likely to make an impact, on
commercial technology or public use, including:
transfer of results to entities in government or industry;
instances where the research has led to the initiation of a start-up company; or
adoption of new practices.
What was the impact on society beyond science and technology?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
Describe how results from the project made an impact, or are likely to make an impact, beyond
the bounds of science, engineering, and the academic world on areas such as:
improving public knowledge, attitudes, skills, and abilities;
changing behavior, practices, decision making, policies (including regulatory policies),
or social actions; or
improving social, economic, civic, or environmental conditions.
Nothing to report.
The final PTSD Clinicians Exchange website has been transitioned to the VA for future use. The VA is
working on programming the website to be public-facing and sustainable long-term. The public-facing
version of the website is scheduled to launch by December, 2018.
Once the PTSD Clinicians Exchange website is made publicly available, the hope is that public
knowledge of clinical best practices will be more accessible and used by clinicians treating veterans with
PTSD. Analysis is ongoing to determine how access to the website impacted knowledge, receptivity and
awareness.
challenges and provided a quick way to access important materials related to assessment and treatment of
PTSD. Results from our study are still in process as part of manuscript development, and are scheduled to
be completed by December, 2018. Preliminary results show that when clinicians used the Exchange, they
increased their familiarity and use of key EBPs. Some of our clinicians also reported that the Exchange
inspired them to attend further trainings for key EBPs, such as Prolonged Exposure. Given that
improving uptick of trauma-focused treatments is a key initiative in both VA and DoD, the Exchange
could have broad-reaching impact on clinical best practices for PTSD, if disseminated widely.
Furthermore, by widening the focus of the Exchange to address clinical best practices for mental health
more broadly, the Exchange has the potential to make an impact on the mental health field beyond
assessment and treatment of PTSD.
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5. CHANGES/PROBLEMS: The Project Director/Principal Investigator (PD/PI) is reminded that
the recipient organization is required to obtain prior written approval from the awarding agency
Grants Officer whenever there are significant changes in the project or its direction. If not
previously reported in writing, provide the following additional information or state, “Nothing to
Report,” if applicable:
Changes in approach and reasons for change
Describe any changes in approach during the reporting period and reasons for these changes.
Remember that significant changes in objectives and scope require prior approval of the agency.
Actual or anticipated problems or delays and actions or plans to resolve them
Describe problems or delays encountered during the reporting period and actions or plans to
resolve them.
Changes that had a significant impact on expenditures
Describe changes during the reporting period that may have had a significant impact on
expenditures, for example, delays in hiring staff or favorable developments that enable meeting
objectives at less cost than anticipated.
Significant changes in use or care of human subjects, vertebrate animals, biohazards,
and/or select agents
Describe significant deviations, unexpected outcomes, or changes in approved protocols for the
use or care of human subjects, vertebrate animals, biohazards, and/or select agents during the
reporting period. If required, were these changes approved by the applicable institution
committee (or equivalent) and reported to the agency? Also specify the applicable Institutional
Review Board/Institutional Animal Care and Use Committee approval dates.
Significant changes in use or care of human subjects
Nothing to report.
There have been no changes that had a significant impact on expenditures.
There have been no significant changes in use or care of human subjects.
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Significant changes in use or care of vertebrate animals.
Significant changes in use of biohazards and/or select agents
6. PRODUCTS: List any products resulting from the project during the reporting period. If
there is nothing to report under a particular item, state “Nothing to Report.”
Publications, conference papers, and presentations
Report only the major publication(s) resulting from the work under this award.
Journal publications. List peer-reviewed articles or papers appearing in scientific,
technical, or professional journals. Identify for each publication: Author(s); title;
journal; volume: year; page numbers; status of publication (published; accepted,
awaiting publication; submitted, under review; other); acknowledgement of federal
support (yes/no).
Books or other non-periodical, one-time publications. Report any book, monograph,
dissertation, abstract, or the like published as or in a separate publication, rather than a
n/a
n/a
Nothing to report
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periodical or series. Include any significant publication in the proceedings of a one-time
conference or in the report of a one-time study, commission, or the like. Identify for each one-
time publication: Author(s); title; editor; title of collection, if applicable; bibliographic
information; year; type of publication (e.g., book, thesis or dissertation); status of publication
(published; accepted, awaiting publication; submitted, under review; other); acknowledgement
of federal support (yes/no).
Other publications, conference papers, and presentations. Identify any other
publications, conference papers and/or presentations not reported above. Specify the
status of the publication as noted above. List presentations made during the last year
(international, national, local societies, military meetings, etc.). Use an asterisk (*) if
presentation produced a manuscript.
Nothing to report.
1. Wilkinson, A., Ortigo, K., Simon, E., Coleman, J.L., Clarke-Walper, K.,
Zincavage, R., Marceau, L., Wilk, J., Ruzek, J.I., Rosen, R.C. The PTSD
Practitioner Registry: A Novel Tool for Dissemination and Training of Best
Practices/Clinical Practice Guidelines for PTSD Providers. Poster presented at the
Military Health System Research Symposium, Fort Lauderdale, FL, USA, Aug
15-17, 2016.
2. Coleman, J.L., Magnavita, A.M., Simon, E., Clarke-Walper, K., Penix, E.,
Zincavage, R., Marceau, L., Wilk, J., Ruzek, J.I., Rosen, R.C: PTSD Clinicians
Exchange: Understanding Clinicians’ Use of the Clinical Practice Guideline for
the Management of PTSD and Best Practices in Three Service Sectors. Poster
presented at the Military Health System Research Symposium, Fort Lauderdale,
FL, USA, Aug 2017.
3. Simon, E., Ortigo, K., Regala, S., Clarke-Walper, K., Coleman, J.L., Magnavita,
A.M., Zincavage, R., Dwyer, J., , Marceau, L., Wilk, J., Rosen, R.C., Ruzek, J.I.:
The PTSD Clinicians Exchange: Development of an Online Clinician-Centered
Community of Practice Resource for Treatment of PTSD in Military Populations.
Poster presented at the Military Health System Research Symposium, Fort
Lauderdale, FL, USA, Aug 2017.
4. Penix, E., Clarke-Walper, K., Magnavita, A.M., Simon, E., Regala, S., Ortigo, K.,
Ruzek, J.I., Rosen, R.C., & Wilk, J.: Providing Evidence-based Treatments for
PTSD and the Risk of Secondary Traumatic Stress: Results from the PTSD
Clinicians Exchange. Poster presented at the Military Health System Research
Symposium, Fort Lauderdale, FL, USA, Aug 2017.
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Website(s) or other Internet site(s)
List the URL for any Internet site(s) that disseminates the results of the research
activities. A short description of each site should be provided. It is not necessary to
include the publications already specified above in this section.
Website: PTSD Clinicians Exchange: this website is currently password protected
5. Wilk, J.E., Clarke-Walper, K., Magnavita, A., Simon, E., Ruzek, J.I., & Rosen,
R.C.: Assessment of Practitioner Attitudes, Behaviors and Wellbeing in the PTSD
Practitioner Exchange. Poster presented at the ISTSS 33rd Annual Meeting,
Chicago, IL, USA, Nov 2017
6. Ruzek, J.I., Wilk, J.E., Simon, E., Magnavita, A., & Rosen, R.C.: Rationale,
Design and Implementation of the PTSD Practitioner Exchange: A Novel Method
for Measuring Dissemination and Uptake of Clinical Practice Guidelines for
PTSD Management. Poster presented at the ISTSS 33rd Annual Meeting. Chicago,
IL, USA, Nov 2017.
7. Magnavita, A., Raymond, R.C., Simon, E., Wilk, J.E., & Ruzek, J.I.: Design,
Development and Dissemination of a Clinical Practice Guidelines Internet
Resource for Clinicians: The PTSD Clinicians Exchange. Poster presented at the
ISTSS 33rd Annual Meeting. Chicago, IL, USA, Nov 2017.
8. Simon, E., Ortigo, K., Clarke-Walper, K., Regala, S., Magnavita, A., Coleman, J.,
Penix, E., Marceau, L., Wilk, J.E., Rosen, R.C., & Ruzek, J.I.: Clinician
Awareness and Use of Best Practices across Three Service Sectors. Poster
presented at the ISTSS 33rd Annual Meeting. Chicago, IL, USA, Nov 2017.
9. Clarke-Walper, K.; Penix, E., Trachtenberg, F., Magnavita, A., Simon, E.,
Coleman, J., Regala, S., Ortigo, K., Ruzek, J.I., Rosen, R.C., & Wilk, J.E.: How
Effective is a Behavioral Health Clinician Registry at Mitigating Burnout in the
VA, DoD, and Community? Results from the PTSD Clinicians Exchange. Poster
Presented at the Military Health System Research Symposium, Fort Lauderdale,
FL, USA, Aug 2018.
10. Coleman, J., Marceau, L., Magnavita, A., Ambrosoli, J., Zincavage, R.,
Trachtenberg, F., Simon, E., Regala, S., Ortigo, K., Clarke-Walper, K., Penix, E.,
Wilk, J.E., Ruzek, J.I., & Rosen, R.C.: Website Analytics in the Evaluation of a
New Tool for Increasing Clinician Awareness, Receptivity, and Implementation
of Evidence-Based Practices for the Treatment of PTSD: The PTSD Clinicians
Exchange. Oral presentation at the Military Health System Research Symposium,
Fort Lauderdale, FL, USA, Aug 2018.
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Technologies or techniques
Identify technologies or techniques that resulted from the research activities. In addition
to a description of the technologies or techniques, describe how they will be shared.
Inventions, patent applications, and/or licenses
Identify inventions, patent applications with date, and/or licenses that have resulted from
the research. State whether an application is provisional or non-provisional and indicate
the application number. Submission of this information as part of an interim research
performance progress report is not a substitute for any other invention reporting
required under the terms and conditions of an award.
Other Products
Identify any other reportable outcomes that were developed under this project.
Reportable outcomes are defined as a research result that is or relates to a product,
scientific advance, or research tool that makes a meaningful contribution toward the
understanding, prevention, diagnosis, prognosis, treatment, and/or rehabilitation of a
disease, injury or condition, or to improve the quality of life. Examples include:
data or databases;
biospecimen collections;
audio or video products;
software;
models;
educational aids or curricula;
instruments or equipment;
research material (e.g., Germplasm; cell lines, DNA probes, animal models);
clinical interventions;
new business creation; and
other.
Nothing to report.
Nothing to report.
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7. PARTICIPANTS & OTHER COLLABORATING ORGANIZATIONS
What individuals have worked on the project?
Provide the following information for: (1) PDs/PIs; and (2) each person who has worked at least
one person month per year on the project during the reporting period, regardless of the source
of compensation (a person month equals approximately 160 hours of effort). If information is
unchanged from a previous submission, provide the name only and indicate “no change.”
Example:
Name: Mary Smith
Project Role: Graduate Student
Researcher Identifier (e.g. ORCID ID): 1234567
Nearest person month worked: 5
Contribution to Project: Ms. Smith has performed work in the area of
combined error-control and constrained coding.
Funding Support: The Ford Foundation (Complete only if the funding
support is provided from other than this award).
Nothing to report.
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Name: Ray Rosen
Project Role: Principal Investigator
Nearest person month worked: 3
Contribution to Project: Dr. Rosen provides PI oversight throughout as well as aids in the
development of the protocol and participant materials.
Name: Lisa Marceau
Project Role: Co-Investigator
Nearest person month worked: 2
Contribution to Project: Mrs. Marceau is the lead on the web development.
Name: Ashley Magnavita
Project Role: Senior Project Manager
Nearest person month worked: 2
Contribution to the Project: Mrs. Magnavita provides oversight to the internal team and manages the
timeline for the duration of the project.
Name: Julia Coleman
Project Role: Associate Project Coordinator
Nearest person month worked: 2
Contribution to the Project: Ms. Coleman aids the qualitative interviewer and provides assistance
with the web design.
Name: James Ambrosoli
Project Role: Research Associate
Nearest person month worked: 3
Contribution to the Project: Mr. Ambrosoli aids the Project Manager and other study staff in day-to-
day activities.
Name: Rebekah Zincavage
Project Role: Qualitative Researcher
Nearest person month worked: 2
Contribution to Project: Ms. Zincavage developed the qualitative interview guide for Phase II.
Interviews.
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Has there been a change in the active other support of the PD/PI(s) or senior/key personnel
since the last reporting period?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
If the active support has changed for the PD/PI(s) or senior/key personnel, then describe what
the change has been. Changes may occur, for example, if a previously active grant has closed
and/or if a previously pending grant is now active. Annotate this information so it is clear what
has changed from the previous submission. Submission of other support information is not
necessary for pending changes or for changes in the level of effort for active support reported
previously. The awarding agency may require prior written approval if a change in active other
support significantly impacts the effort on the project that is the subject of the project report.
What other organizations were involved as partners?
If there is nothing significant to report during this reporting period, state “Nothing to Report.”
Describe partner organizations – academic institutions, other nonprofits, industrial or
commercial firms, state or local governments, schools or school systems, or other organizations
(foreign or domestic) – that were involved with the project. Partner organizations may have
provided financial or in-kind support, supplied facilities or equipment, collaborated in the
research, exchanged personnel, or otherwise contributed.
Provide the following information for each partnership:
Organization Name:
Location of Organization: (if foreign location list country)
Partner’s contribution to the project (identify one or more)
Financial support;
In-kind support (e.g., partner makes software, computers, equipment, etc.,
available to project staff);
Facilities (e.g., project staff use the partner’s facilities for project activities);
Collaboration (e.g., partner’s staff work with project staff on the project);
Personnel exchanges (e.g., project staff and/or partner’s staff use each other’s facilities,
work at each other’s site); and
Other.
Nothing to report.
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8. SPECIAL REPORTING REQUIREMENTS
COLLABORATIVE AWARDS: N/A
QUAD CHARTS: N/A
9. APPENDICES: N/A
Organization Name: National Center for PTSD
Location of Organization: Palo Alto, CA
Partner’s contribution to the project: The NCPTSD team is the co-awardee of the project. NERI and
NCPTSD work collaboratively on all portions of the project.
Organization Name: Walter Reed Army Institute of Research (WRAIR)
Location of Organization: Silver Spring, MD
Partner’s contribution to the project: The WRAIR team is also a part of the overall team and is involved
in the scientific and programmatic functions of the project.